NPI | 1972898054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OR MD205705) |
Additional Taxonomies | 208600000X Surgery (Licence: OR MD205705) |
2086S0102X Surgery, Surgical Critical Care (Licence: OR MD205705) | |
Enumeration Date | 2011-06-16 |
Last Update Date | 2024-04-14 |