| NPI | 1649437468 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0073682) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: DC MD038703) |
| 208600000X Surgery (Licence: DC MD038703) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0073682) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2024-01-16 |