| NPI | 1215297411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 319904) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX S0906) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2025-05-19 |