| NPI | 1871795906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: RI MD15027) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP10184) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-01-29 |