| NPI | 1942466750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101263442) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A121760) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 073118) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD463027) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME133582) | |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2024-07-31 |