| NPI | 1588979942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A113575) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A 113575) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NM MD2020-1085) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NM MD2020-1085) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2024-02-07 |