| NPI | 1073141594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MA 1028017) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 1028017) |
| 208600000X Surgery (Licence: MA 1028017) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-07-13 |