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 | 2024-10-25 |