| NPI | 1245294131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 32343) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2006001559) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2016-03-08 |