| NPI | 1538336581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA C134885) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 128134) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2015-03-12 |