| NPI | 1992731459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: LA MD.200015) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 200015) |
| 208600000X Surgery (Licence: LA 200015) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: LA MD.200015) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2022-01-04 |