NPI | 1871753905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA A123254) |
Additional Taxonomies | 208600000X Surgery (Licence: ND 11176) |
2086S0102X Surgery, Surgical Critical Care (Licence: ND 11176) | |
2086S0127X Surgery, Trauma Surgery (Licence: ND 11176) | |
208600000X Surgery (Licence: CA A123254) | |
2086S0102X Surgery, Surgical Critical Care (Licence: CA A123254) | |
Enumeration Date | 2008-06-12 |
Last Update Date | 2013-05-02 |