NPI | 1376566422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA G37245) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA G37245) |
2086S0127X Surgery, Trauma Surgery (Licence: CA G37245) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2009-12-11 |