| NPI | 1588655781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: WI 67333) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 223920) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MA 223920) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: WI 67333) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2022-07-21 |