NPI | 1255359980 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MO 113268) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 113268) |
2086S0127X Surgery, Trauma Surgery (Licence: MO 113268) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2024-04-25 |