| NPI | 1477510535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: LA 011444) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 011444) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2014-10-07 |