| NPI | 1588988000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME130644) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME130644) |
| 2086S0127X Surgery, Trauma Surgery (Licence: FL ME130644) | |
| 208D00000X General Practice (Licence: FL ME130644) | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2025-09-03 |