| NPI | 1750605523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MD D0075932) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TN 59261) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2019-08-07 |