| NPI | 1386622710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NM md2011-0863) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NM md2011-0863) |
| 208600000X Surgery (Licence: NM md2011-0863) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2012-01-06 |