| NPI | 1407939754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: DC MD500001742) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME114765) |
| 208600000X Surgery (Licence: FL ME 114765) | |
| 208600000X Surgery (Licence: IL 036-111618) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-10-26 |