NPI | 1346683356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: LA MD.208182) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: LA MD.208182) |
2086S0127X Surgery Trauma Surgery (Licence: LA MD.208182) | |
Enumeration Date | 2013-04-09 |
Last Update Date | 2020-07-21 |