| NPI | 1750341657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TX E3312) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX E3312) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-07-14 |