| NPI | 1164651337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL OS13562) |
| Additional Taxonomies | 208600000X Surgery (Licence: MS t-0101) |
| 208600000X Surgery (Licence: FL OS13562) | |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2022-08-06 |