| NPI | 1194764985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: LA 344494) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL 155412) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: GA 38595) | |
| 208600000X Surgery (Licence: GA 38595) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL 155412) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: GA 38595) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL 155412) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2025-02-06 |