NPI | 1649834193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MN 76747) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MN 76747) |
2086S0127X Surgery, Trauma Surgery (Licence: MN 76747) | |
Enumeration Date | 2019-04-30 |
Last Update Date | 2025-09-29 |