| NPI | 1225281330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 068031) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 68031) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TN MD0000063863) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX Q6030) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL 117401) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: SC MD35525) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2025-03-07 |