| NPI | 1649215435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME114652) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00043274) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2016-08-10 |