NPI | 1891038055 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA A163081) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A163081) |
2086S0102X Surgery, Surgical Critical Care (Licence: CA A163081) | |
Enumeration Date | 2013-04-05 |
Last Update Date | 2019-09-13 |