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 |