| NPI | 1669650826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 53207-020) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA C153801) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2024-10-29 |