| NPI | 1891937694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NE 805) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MB12635300) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2025-05-05 |