| NPI | 1851680466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MD D89722) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD464252) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2020-09-14 |