| NPI | 1922024140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2002015296) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2002015296) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MO 2002015296) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-11-15 |