NPI | 1295726560 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IA 36893) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: DC MD33292) |
2086S0102X Surgery, Surgical Critical Care (Licence: IA 36893) | |
Enumeration Date | 2005-11-04 |
Last Update Date | 2012-04-27 |