| NPI | 1851736797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME158330) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0065023) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2022-08-08 |