| NPI | 1982641494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR0052407) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: FL me65570) |
| 208600000X Surgery (Licence: FL me65570) | |
| 208600000X Surgery (Licence: NY 192322-1) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CO DR00552407) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 192322-1) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: FL me65570) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: NY 192322-1) | |
| 208600000X Surgery (Licence: CO DR0052407) | |
| 208600000X Surgery (Licence: NY 192322) | |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NY 192322) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL me65570) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 192322-1) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 192322) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: CO DR0052407) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2024-03-08 |