NPI | 1184067837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: ID M-17870) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 62959) |
208600000X Surgery (Licence: WI 62959-20) | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2024-09-18 |