| NPI | 1942443627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: ME 018502) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: LA MS 202794) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2014-09-12 |