| NPI | 1598727166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0053861) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 99-251) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2015-06-26 |