| NPI | 1295863058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 26963) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: SC 26963) |
| 2086S0127X Surgery, Trauma Surgery (Licence: SC 26963) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-03-16 |