| NPI | 1497881866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AZ 42059) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA L-207505) |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME90887) | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-11-10 |