| NPI | 1649763848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: AZ 012476) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: AZ 012476) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2026-07-09 |