| NPI | 1669719258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TN 3857) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 3857) |
| 208600000X Surgery (Licence: TN 3857) | |
| 208600000X Surgery (Licence: WA OP61468237) | |
| 208D00000X General Practice (Licence: NE 1194) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TN 3857) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WA OP61468237) | |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2024-03-05 |