| NPI | 1851014252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 77388) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TX BP10079533) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2026-08-20 |