| NPI | 1932220233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 67229) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 067229) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-01-21 |