| NPI | 1184646978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CT 046588) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 046588) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MA 286910) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-10-01 |