NPI | 1336120443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX H4208) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX H4208) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2024-08-16 |