| NPI | 1760617641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MN 52798) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MN 52798) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2021-12-06 |