| NPI | 1346456399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME127855) |
| Additional Taxonomies | 208600000X Surgery (Licence: AL MD.32676) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 63460) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NV 16532) | |
| 208600000X Surgery (Licence: WI 63460) | |
| 208600000X Surgery (Licence: CA A101528) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2022-02-04 |