| NPI | 1669488003 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.095349) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.095349) |
| 208600000X Surgery (Licence: MA 227496) | |
| 208600000X Surgery (Licence: DC MD041969) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.095349) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2025-03-25 |