| NPI | 1841757069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 1024213) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 1024213) |
| Enumeration Date | 2019-02-24 |
| Last Update Date | 2026-07-22 |