| NPI | 1740248004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MD D0039104) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D39104) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MD D39104) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2012-10-31 |