| NPI | 1992917991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 070227) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 070227) |
| 208600000X Surgery (Licence: TN MD45032) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-01-14 |