NPI | 1225157175 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 253147) |
Additional Taxonomies | 208600000X Surgery (Licence: MA 253147) |
2086S0127X Surgery, Trauma Surgery (Licence: MA 253147) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2025-02-11 |