| NPI | 1447660055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A140929) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA A140929) |
| 208600000X Surgery (Licence: CA A140929) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2026-09-04 |