| NPI | 1306157110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME170440) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S7295) |
| 208600000X Surgery (Licence: FL ME170440) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME170440) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2025-02-12 |