| NPI | 1922014422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NH 12787) |
| Additional Taxonomies | 208600000X Surgery (Licence: NH 12787) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NH 12787) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-03-21 |