| NPI | 1164482303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: IN 01079569A) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD067578-L) |
| 208600000X Surgery (Licence: IL 036.090092) | |
| 208600000X Surgery (Licence: OH 35.123491) | |
| 208600000X Surgery (Licence: IN 01079569A) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: PA MD067578-L) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: OH 35.123491) | |
| 2086S0127X Surgery Trauma Surgery (Licence: IL 036.090092) | |
| 2086S0127X Surgery Trauma Surgery (Licence: PA MD067578-L) | |
| 2086S0127X Surgery Trauma Surgery (Licence: OH 35.123491) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-09-23 |