| NPI | 1164834370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME164337) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA A-143147) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2024-08-07 |