| NPI | 1134149339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-4955) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 04-19290) |
| 208600000X Surgery (Licence: MO R7905) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-07-20 |