| NPI | 1043599798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX P5031) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX P5031) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2018-09-25 |