| NPI | 1821521501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IA MD-51685) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: IA MD-51685) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-08-14 |