| NPI | 1750486544 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NH 13257) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NH 13257) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-09-15 |