| NPI | 1083793269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: CO DR0051146) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01054940A) |
| 208600000X Surgery (Licence: FL ME97657) | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2015-01-22 |