| NPI | 1437464997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A120107) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A120107) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2018-09-24 |