| NPI | 1285920223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: ID O-1974) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 52097) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX R4098) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: SC 52097) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: GA 076864) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: TX R4098) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2024-05-14 |