| NPI | 1487955134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TN 53807) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ R72008) |
| 208600000X Surgery (Licence: TN MD53807) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TN 53807) | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2022-01-29 |