| NPI | 1457795379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CO DR.0077020) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX Q6023) |
| 208600000X Surgery (Licence: CO DR.0077020) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2026-04-27 |