| NPI | 1598887010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS14288) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101016366) |
| 2086S0127X Surgery, Trauma Surgery (Licence: IN 02004106A) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-03-23 |