| NPI | 1881664472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: MO 110453) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: MO 110453) |
| 208600000X Surgery (Licence: MO 110453) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2024-04-25 |