NPI | 1336107853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME30671) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME30671) |
2086S0102X Surgery, Surgical Critical Care (Licence: FL ME30671) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2011-04-14 |