NPI | 1831393610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: LA 202238) |
Additional Taxonomies | 208600000X Surgery (Licence: LA 202238) |
2086S0102X Surgery, Surgical Critical Care (Licence: LA 202238) | |
Enumeration Date | 2007-06-13 |
Last Update Date | 2019-12-11 |