| NPI | 1447478292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: AZ 48680) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 48680) |
| 2086S0127X Surgery Trauma Surgery (Licence: TX M6577) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-07-15 |