| NPI | 1578594487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301070155) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MI 4301070155) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MO 2017025867) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-03-20 |