| NPI | 1386622421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MN 45013) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WI 22304) |
| 208600000X Surgery (Licence: MN 45013) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2022-05-10 |