| NPI | 1518196898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: FL OS16783) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N5205) |
| 208600000X Surgery (Licence: KS 05-32067) | |
| 208600000X Surgery (Licence: TX N5205) | |
| 2086S0127X Surgery Trauma Surgery (Licence: TX N5205) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2024-05-09 |