| NPI | 1629041843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA 3513) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 3513) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-07-24 |