| NPI | 1245261031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301101895) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-148286) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036148286) | |
| 208600000X Surgery (Licence: NJ 25MA06147500) | |
| 208600000X Surgery (Licence: CT 64641) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME146617) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036-148286) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: DC MD048237) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME146617) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CT 64641) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: DC MD048237) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.134044) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301101895) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CT 64641) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-11-18 |