| NPI | 1639513054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: DE C1-0024330) |
| Additional Taxonomies | 208600000X Surgery (Licence: DE C1-0024330) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2021-08-31 |