NPI | 1649430067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NY 272428) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 272428) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2015-02-02 |