| NPI | 1851680318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A113033) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A113033) |
| 208600000X Surgery (Licence: CA A113033) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2019-12-26 |