| NPI | 1881853133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: AR E-13306) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-45504) |
| 208600000X Surgery (Licence: CO DR.0059360) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2023-07-13 |