NPI | 1144259987 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 105559) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MO 105559) |
208600000X Surgery (Licence: MO 105559) | |
2086S0102X Surgery, Surgical Critical Care (Licence: MO 105559) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2021-03-29 |