| NPI | 1568437176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C165534) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0060292) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA C165534) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MD D60292) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-10-21 |