NPI | 1194835512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA G55680) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA G55680) |
208600000X Surgery (Licence: CA G55680) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-01-14 |