| NPI | 1285049023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NH 24832) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0102206066) |
| 208600000X Surgery (Licence: FL UO4281) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-11-01 |