| NPI | 1205938255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: NC 2005-01306) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-01306) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2005-01306) | |
| 208600000X Surgery (Licence: NC 2005-01306) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2005-01306) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2024-07-24 |