| NPI | 1275583908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: AR E-6965) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 24570) |
| 207P00000X Emergency Medicine (Licence: AR E-6965) | |
| 208600000X Surgery (Licence: TN MD 12630) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: TN MD-12630) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-07-30 |