| NPI | 1487186714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 82014-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 82014-20) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: WI 82014-20) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-05-21 |