| NPI | 1447757554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A211302) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301514634) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2026-09-02 |