| NPI | 1548281496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA G77333) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G77333) |
| 2086S0127X Surgery, Trauma Surgery (Licence: CA G77333) | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2021-02-23 |