| NPI | 1750547212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MS T2143) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 21940) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2014-11-20 |