| NPI | 1376806943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: RI MD16013) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI MD16013) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: RI MD16013) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MA 276046) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2023-05-17 |