| NPI | 1467456921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: SC 96218) |
| Additional Taxonomies | 208600000X Surgery (Licence: DE C1-0026239) |
| Enumeration Date | 2005-06-11 |
| Last Update Date | 2026-01-21 |