NPI | 1891716023 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA G58869) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA G58869) |
2086S0127X Surgery, Trauma Surgery (Licence: CA G58869) | |
Enumeration Date | 2006-07-22 |
Last Update Date | 2009-04-14 |