| NPI | 1568480044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: IL 36.110661) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2002014409) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MO 2002014409) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: WI 52369-21) | |
| 208600000X Surgery (Licence: MO 2002014409) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2002014409) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-01-19 |