| NPI | 1184067837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 62959-20) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 62959) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: ID M-17870) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2026-02-26 |