NPI | 1730128349 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301056688) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301056688) |
2086S0127X Surgery, Trauma Surgery (Licence: MI 4301056688) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2016-04-26 |