NPI | 1598116469 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: SC 90083) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME151950) |
208600000X Surgery (Licence: FL ME151950) | |
208600000X Surgery (Licence: SC LL39468) | |
2086S0102X Surgery, Surgical Critical Care (Licence: FL ME151950) | |
2086S0127X Surgery, Trauma Surgery (Licence: FL ME151950) | |
Enumeration Date | 2016-06-22 |
Last Update Date | 2024-04-18 |