| NPI | 1174844815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A117835) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD460329) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A117385) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA A117385) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2022-06-14 |