| NPI | 1740258094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AZ 41459) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 23112) |
| 208600000X Surgery (Licence: AZ 41459) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 41459) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OK 23112) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 1526) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: OK 23112) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: WI 1526) | |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2023-02-13 |