NPI | 1245493667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101252820) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101252820) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2025-08-30 |