| NPI | 1649237033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: SC 12311) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: SC 12311) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-11-13 |