| NPI | 1861618514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: FL ME90948) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME90948) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-04-04 |