NPI | 1235398355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: PA MD456389) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD456389) |
2086S0127X Surgery Trauma Surgery (Licence: PA MD456389) | |
Enumeration Date | 2008-06-04 |
Last Update Date | 2022-03-24 |