| NPI | 1326074006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: KS 05-41581) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2005008770) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2025-09-12 |