| NPI | 1932387198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: UT 7675946-1205) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: UT 76759461205) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2017-02-03 |