| NPI | 1235333048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 52605) |
| Additional Taxonomies | 208600000X Surgery (Licence: OR MD166610) |
| 208600000X Surgery (Licence: WI 52605) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2015-07-23 |