| NPI | 1518300128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL 137461) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 137461) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2022-12-26 |