NPI | 1417489030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.151275) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.151275) |
Enumeration Date | 2017-04-02 |
Last Update Date | 2024-07-22 |