| NPI | 1447674395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0102206907) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102206907) |
| 207P00000X Emergency Medicine (Licence: TN 5669) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TN 5669) | |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2024-08-07 |