| NPI | 1184156465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036.166207) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101278676) |
| 208600000X Surgery (Licence: FL ME165442) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-10-18 |