| NPI | 1043291826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 069372) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 069372) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 069372) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-04-10 |