| NPI | 1033641469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NV 29943) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0073110) |
| 208600000X Surgery (Licence: NV 29943) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2026-08-04 |