NPI | 1700142742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX S3084) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX S3084) |
2086S0127X Surgery, Trauma Surgery (Licence: TX S3084) | |
Enumeration Date | 2012-04-04 |
Last Update Date | 2024-06-11 |