| NPI | 1760434062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 42816) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TN 67546) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-02-08 |