| NPI | 1649421132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: FL ME111874) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME111874) |
| 2086S0105X Surgery Surgery of the Hand (Licence: FL ME111874) | |
| 2086S0127X Surgery Trauma Surgery (Licence: FL ME111874) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2022-02-11 |