| NPI | 1851718902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA A193394) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0066628) |
| 208600000X Surgery (Licence: MD D98156) | |
| 208600000X Surgery (Licence: IN 01091215A) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2024-05-22 |