| NPI | 1295173433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME DO3054) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 20A16577) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: ME DO3054) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: ME DO3054) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA 20A16577) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-08-17 |