NPI | 1194927228 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OR 58391) |
Additional Taxonomies | 208600000X Surgery (Licence: TX R3707) |
2086S0102X Surgery, Surgical Critical Care (Licence: OR 3608) | |
2086S0127X Surgery, Trauma Surgery (Licence: TX R3707) | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2024-06-27 |