| NPI | 1447415146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NE 24587) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: NE 24587) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2024-11-07 |