| NPI | 1427316983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101270325) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101270325) |
| 208600000X Surgery (Licence: CT 053799) | |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2023-03-16 |