| NPI | 1144516873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MI 4301117409) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301098419) |
| 2086S0127X Surgery, Trauma Surgery (Licence: GA 0708045) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2019-11-08 |