| NPI | 1760572333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AR C-5181) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: AR C-5181) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AR C-5181) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-01-07 |