NPI | 1962481655 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WY 8753A) |
Additional Taxonomies | 208600000X Surgery (Licence: CA a93051) |
2086S0127X Surgery, Trauma Surgery (Licence: CA a93051) | |
2086S0127X Surgery, Trauma Surgery (Licence: WY 8753A) | |
2086S0102X Surgery, Surgical Critical Care (Licence: WY 8753A) | |
2086S0129X Surgery, Vascular Surgery (Licence: WY 8753A) | |
Enumeration Date | 2006-01-11 |
Last Update Date | 2011-07-20 |