| NPI | 1700178746 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: AR E-8101) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: AR E-8101) |
| 2086S0127X Surgery Trauma Surgery (Licence: TN 56040) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: AL 43363) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MD D86205) | |
| 2086S0102X Surgery Surgical Critical Care (Licence: MD D86205) | |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2024-06-24 |