| NPI | 1861791014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 57532) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 57532) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2024-02-28 |