| NPI | 1235549684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2017031155) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2017031155) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-12-09 |