| NPI | 1306942735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA G46880) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA G46880) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-09-26 |