| NPI | 1316292386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: NV 29611) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV 29611) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.129769) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IL 036.129769) | |
| 208600000X Surgery (Licence: IL 036.129769) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2026-06-01 |