| NPI | 1629099080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: CA A70664) |
| Additional Taxonomies | 207VC0200X Obstetrics & Gynecology Critical Care Medicine (Licence: CA A70664) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2025-04-18 |