NPI | 1770567521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA 00A710820) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA 00A7100820) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2021-12-13 |