National Provider Identifier (NPI):
1407840093
Medical School:
Univ Airlangga, Fac Of Med, Surabaya, Jawa Timur, Indonesia
Residency Training:
Detroit Rec Hsp-U Hlth C, General Surgery Detroit Rec Hsp-U Hlth C, Anesthesiology St Marys Hlth Services, Flexible Or Transitional Year