| NPI | 1740225499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: GA 053906) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 053906) |
| 2086S0102X Surgery Surgical Critical Care (Licence: GA 053906) | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2022-01-26 |