| NPI | 1558329367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: GA 84759) |
| Additional Taxonomies | 208600000X Surgery (Licence: IN 01062118A) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-01-10 |