| NPI | 1376770016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TN 52302) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: DC MD044176) |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2022-03-31 |