| NPI | 1851403109 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA G58383) |
| Additional Taxonomies | 2086S0129X (Licence: CA G58383) |
| 208600000X Surgery (Licence: CA G58383) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-09-11 |