| NPI | 1508824335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TX G9162) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX G9162) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2023-06-13 |