NPI | 1194905299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NY 291087) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 291087) |
2086S0127X Surgery, Trauma Surgery (Licence: NY 291087) | |
Enumeration Date | 2007-11-06 |
Last Update Date | 2018-05-14 |