| NPI | 1689600462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME0048465) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME48465) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-12-05 |