NPI | 1609335421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101286616) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: VA 0101286616) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2025-09-15 |