| NPI | 1013987429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 14841) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: OK 14841) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2013-03-05 |