NPI | 1467773978 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: TX Q9922) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX Q9922) |
2086S0127X Surgery, Trauma Surgery (Licence: CA A136250) | |
2086S0127X Surgery, Trauma Surgery (Licence: TX Q9922) | |
Enumeration Date | 2010-06-18 |
Last Update Date | 2019-09-13 |