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 |