| NPI | 1831338342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: RI MD13552) |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: RI MD13552) |
| Enumeration Date | 2009-02-08 |
| Last Update Date | 2020-01-29 |