| NPI | 1598764425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101254380) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: VA 0101254380) |
| 207LC0200X Anesthesiology Critical Care Medicine (Licence: VA 207LC0200X) | |
| 208600000X Surgery (Licence: MO 110449) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: VA 0101254380) | |
| 2086S0127X Surgery Trauma Surgery (Licence: MO 110449) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2022-12-05 |