| NPI | 1326275744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX Q1116) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A114923) |
| 208600000X Surgery (Licence: TX Q1116) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: GA 83953) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OK 37485) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2022-04-29 |