| NPI | 1679079826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME163734) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME163734) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-09-12 |