| NPI | 1417132309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0070702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0070702) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2026-06-23 |