| NPI | 1265448500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 73150) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 229893) |
| 208600000X Surgery (Licence: GA 073150) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: ID M-14977) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MS 23713) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2020-02436) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NV 19460) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: SC MD37935) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TN MD0000061948) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX K5294) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101268805) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA 073150) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AK 179872) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CO PA.0004259) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME123688) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-05-05 |