| NPI | 1922454859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 287397) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 266760) |
| 208600000X Surgery (Licence: PA OS022075) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA OS022075) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MA 287397) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-01-22 |