| NPI | 1922006188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA G58288) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA G 58288) |
| 208600000X Surgery (Licence: ID M 9378) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA G58288) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: ID M9378) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: ID M9378) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2012-01-23 |