| NPI | 1255771291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A125913) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA 125913) |
| 208600000X Surgery (Licence: CA 125913) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA 125913) | |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2022-08-16 |