| NPI | 1346683018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA OS020813) |
| Additional Taxonomies | 208600000X Surgery (Licence: DE C7-0005355) |
| 208600000X Surgery (Licence: TX R5517) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2025-06-20 |