| NPI | 1154778207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NV 25544) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV 25544) |
| 208600000X Surgery (Licence: AZ 74218) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NV 25544) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 74218) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: AZ 74218) | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-08-20 |