| NPI | 1710114731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO 48925) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO 48925) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CO 48925) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2019-12-04 |