| NPI | 1356608418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OK 34358) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OK 34358) |
| 208600000X Surgery (Licence: AL 33039) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2021-09-14 |