| NPI | 1982828893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2009-00878) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NC 2009-00878) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-12-18 |