| NPI | 1982682746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: NV 981) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 79259) |
| 2086S0102X Surgery Surgical Critical Care (Licence: NV 981) | |
| 208600000X Surgery (Licence: NV 981) | |
| 2086S0127X Surgery Trauma Surgery (Licence: MS 28370) | |
| 2086S0127X Surgery Trauma Surgery (Licence: NC 2020-04065) | |
| 2086S0127X Surgery Trauma Surgery (Licence: VA 0102206370) | |
| 2086S0127X Surgery Trauma Surgery (Licence: TN 4158) | |
| 2086S0127X Surgery Trauma Surgery (Licence: SC DO83370) | |
| 2086S0127X Surgery Trauma Surgery (Licence: TX T0068) | |
| 2086S0127X Surgery Trauma Surgery (Licence: CO DR.0065148) | |
| 2086S0127X Surgery Trauma Surgery (Licence: ID O-1298) | |
| 2086S0127X Surgery Trauma Surgery (Licence: FL OS17329) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2023-01-05 |