| NPI | 1659454254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AL 00026765) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX K7935) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-09-08 |