| NPI | 1992998934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME121624) |
| Additional Taxonomies | 209800000X Legal Medicine (Licence: FL ME121624) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2024-12-04 |