| NPI | 1457810350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MT MED-PHYS-LIC-169036) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TN 71498) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-06-29 |