| NPI | 1881668481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KY 25236) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: KY 25236) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2009-09-22 |