| NPI | 1306837190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 227175) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 227175) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2015-08-18 |