| NPI | 1184898223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AL DO.2400) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: GA 72083) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NC 2018-00123) | |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2021-03-03 |