| NPI | 1518933530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX U7095) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX U7095) |
| 208600000X Surgery (Licence: MN 47388) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX 47505) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX 47764) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MN 47388) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-10-21 |