| NPI | 1437305778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CO DR.0052550) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036.115297) |
| 208600000X Surgery (Licence: CO DR-52550) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2016-03-24 |