| NPI | 1033344759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2018021845) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2018021845) |
| 208600000X Surgery (Licence: MO 2018021845) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2026-07-06 |