| NPI | 1609803725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04.33118) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D53731) |
| 208600000X Surgery (Licence: MD D53731) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: KS 04.33118) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2021-07-30 |