| NPI | 1134370711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 066091) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: GA 066091) |
| 208600000X Surgery (Licence: GA 066091) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2020-10-29 |