| NPI | 1033318910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0052128) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10027668) |
| 208600000X Surgery (Licence: CA A119855) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CO DR.0052128) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2016-03-22 |