NPI | 1629144803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MD D33740) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101230608) |
364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: DC MD20595) | |
Enumeration Date | 2006-11-28 |
Last Update Date | 2011-11-15 |