| NPI | 1538489687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: DE C2-0013421) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA OS014152) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2019-11-13 |