NPI | 1760549612 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NY 229830) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 229830) |
2086S0102X Surgery, Surgical Critical Care (Licence: NY 229830) | |
Enumeration Date | 2007-01-02 |
Last Update Date | 2018-07-24 |