| NPI | 1568490522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME128305) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 30166) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 30166) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: AZ 30166) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-04-07 |