| NPI | 1285728519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0031643) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 31643) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-11-30 |