| NPI | 1548234024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX P4428) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A064885) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A064885) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA A064885) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2013-12-13 |