NPI | 1841299005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: NY 232695) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 232695-1) |
2086S0102X Surgery, Surgical Critical Care (Licence: NY 232695-1) | |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 232695-1) | |
Enumeration Date | 2005-07-20 |
Last Update Date | 2017-01-09 |