| NPI | 1447646526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: SC 85851) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: SC MMD.85851) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2021-08-23 |