| NPI | 1689669657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MO 2007034231) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 43196) |
| 208600000X Surgery (Licence: VA 0101031242) | |
| 208600000X Surgery (Licence: WA 32706) | |
| 208600000X Surgery (Licence: FL ME101176) | |
| 208600000X Surgery (Licence: OR MD27245) | |
| 208600000X Surgery (Licence: NM MD2006-0680) | |
| 208600000X Surgery (Licence: ID M-10254) | |
| 208600000X Surgery (Licence: NH 13283) | |
| 208600000X Surgery (Licence: RI MD12439) | |
| 208600000X Surgery (Licence: WY 7764A) | |
| 208600000X Surgery (Licence: MT 11670) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2023-03-07 |