| NPI | 1255439626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0071795) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0071795) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-07-17 |