| NPI | 1770760324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TN 48164) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 001166) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: GA 65758) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TN MD48164) | |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2022-03-30 |