| NPI | 1952442386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA A135788) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A135788) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA A135788) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-11-07 |