| NPI | 1487639373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MS 17566) |
| Additional Taxonomies | 2086S0129X (Licence: MS 17566) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MS 17566) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2016-07-21 |