| NPI | 1710008875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2014-01763) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2014-01763) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-07-15 |