| NPI | 1891889127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD482816) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01077631A) |
| 208600000X Surgery (Licence: MI EMC0001110) | |
| 208600000X Surgery (Licence: CO 42639) | |
| 208M00000X Hospitalist (Licence: MI EMC0001110) | |
| 208M00000X Hospitalist (Licence: WI 1073) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-03-08 |