NPI | 1770750580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TN MD0000044803) |
Additional Taxonomies | 208600000X Surgery (Licence: TN MD0000044803) |
2086S0102X Surgery, Surgical Critical Care (Licence: TN MD0000044803) | |
Enumeration Date | 2008-05-12 |
Last Update Date | 2022-03-29 |