| NPI | 1710244835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AL 32937) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: AL 32937) |
| 208600000X Surgery (Licence: NC 225032) | |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2021-01-12 |