| NPI | 1063545317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: KS 04-30808) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: WI 787) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 29844) | |
| 208600000X Surgery (Licence: IN 01099194A) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2026-03-06 |