| NPI | 1174526958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME94760) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME94760) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2023-11-15 |