| NPI | 1659395523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX Q0151) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q0151) |
| 208600000X Surgery (Licence: OH 35-08-5446) | |
| 208600000X Surgery (Licence: TX Q0151) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-06-18 |