| NPI | 1619316775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 37120) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: HI MDR-20401) |
| 2086S0102X Surgery Surgical Critical Care (Licence: OK 37120) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-10-08 |