| NPI | 1285609404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD066634L) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: DE TP0002888) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2016-12-12 |