| NPI | 1881080380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0066184) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CO DR.0066184) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2021-11-15 |