NPI | 1558552679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 2603) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MA 0000) |
208600000X Surgery (Licence: MA L-233602) | |
Enumeration Date | 2007-08-05 |
Last Update Date | 2021-01-11 |