| NPI | 1487873485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SC 34221) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME98204) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME98204) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: SC 34221) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2022-02-09 |