| NPI | 1871695114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 26017) |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CT 26017) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2018-03-16 |