| NPI | 1669499117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 63310) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 63310) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: GA 63310) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-07-12 |