| NPI | 1063545317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: KS 04-30808) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MS 29844) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 787) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-05-07 |