| NPI | 1558464503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TN 50324) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: DC MD14740) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-12-04 |