| NPI | 1558773473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: DE C1-0027227) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT206082) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: DE C1-0027227) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2024-09-16 |