| NPI | 1174937528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: AL 38326) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 36930) |
| 208600000X Surgery (Licence: AL 38326) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: AL 38326) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2024-05-02 |