| NPI | 1821451279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 71084-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 71084-20) |
| 2086S0127X Surgery, Trauma Surgery (Licence: MD D96521) | |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2024-12-16 |