| NPI | 1851493514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MA 234972) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME90711) |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME90711) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-09-03 |