| 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 |