NPI | 1275518821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A71020) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A71020) |
2086S0127X Surgery, Trauma Surgery (Licence: CA A71020) | |
Enumeration Date | 2005-12-07 |
Last Update Date | 2015-06-16 |