| NPI | 1942310297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: AZ 33342) |
| Additional Taxonomies | 208600000X Surgery (Licence: AZ 33342) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-10-11 |