| NPI | 1629389127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: GA 062971) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI MD16636) |
| 208600000X Surgery (Licence: GA 93072) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CA 005151) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2025-12-01 |