| NPI | 1508093790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX Q0846) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD445283) |
| 208600000X Surgery (Licence: TX Q0846) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD445283) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: PA MD445283) | |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2024-01-03 |