NPI | 1306377601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: TX T9421) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: TX T9421) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2024-07-21 |