| NPI | 1164668000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0102204381) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ND 13194) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0102204381) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: VA 0102204381) | |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2022-07-15 |