| NPI | 1891094207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA A171075) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 266125) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MA 266125) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A171075) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MA 266125) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2023-06-29 |