| NPI | 1205271764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 73330) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WI 73330-20) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2023-11-28 |