| NPI | 1982678694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: TX E4570) |
| Additional Taxonomies | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: TX E4570) |
| 208600000X Surgery (Licence: TX E4570) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: TX E4570) | |
| 2086S0129X Surgery Vascular Surgery (Licence: TX E4570) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2024-02-26 |