| NPI | 1144584731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA OS019386) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0116030235) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA OS019386) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2025-08-11 |