| NPI | 1386745115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MO 2007020558) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 43940) |
| 208600000X Surgery (Licence: WI 43940) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-02-08 |