NPI | 1124270053 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 55156) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036124370) |
208600000X Surgery (Licence: CT 051916) | |
2086S0102X Surgery, Surgical Critical Care (Licence: CT 051916) | |
Enumeration Date | 2008-10-22 |
Last Update Date | 2018-11-29 |