| NPI | 1336118843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MS 14294) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 14294) |
| 208600000X Surgery (Licence: IN 02002767A) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2018-04-04 |