| NPI | 1194014852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CT 69018) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 290332) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208600000X Surgery (Licence: NY 290332) | |
| 208600000X Surgery (Licence: CT 69018) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 290332) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CT 69018) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2024-03-07 |