NPI | 1710958046 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD60854012) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX Q7047) |
Enumeration Date | 2006-01-26 |
Last Update Date | 2024-03-14 |