NPI | 1144304262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME159559) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D72676) |
2086S0127X Surgery, Trauma Surgery (Licence: MD D72676) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2023-01-26 |