| NPI | 1447471396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO CDR.0005052) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 036-124001) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CO CDR.0005052) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2025-07-24 |