| NPI | 1003000480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0046091) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 46091) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2018-11-30 |