| NPI | 1568882439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MD H0092542) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: DE C2-0012416) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2023-02-14 |