| NPI | 1508018193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME127851) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD448311) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2016-05-03 |