| NPI | 1356575062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NH 21754) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 238672) |
| 208600000X Surgery (Licence: NH 21754) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MA 238672) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MA 238672) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2021-11-01 |