| NPI | 1295882009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: OH 35.152571) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2008-00867) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-02-27 |