| NPI | 1538573548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL OS16011) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL OS16011) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-07-26 |