| NPI | 1215966601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 17478) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OK 17478) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-03-09 |