| NPI | 1255461745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 49932) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MN 49932) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-03-29 |