NPI | 1801803630 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: UT 2797365-1205) |
Additional Taxonomies | 208600000X Surgery (Licence: UT 2797365-1205) |
2086S0102X Surgery Surgical Critical Care (Licence: UT 2797365-1205) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2021-12-20 |