NPI | 1669639092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 14823) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NV 14823) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2022-06-16 |