| NPI | 1205930575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD20040720) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2004-0720) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2024-10-29 |