| NPI | 1821317264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS14065) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: FL OS14065) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2023-08-18 |