| NPI | 1962630269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AZ FG6111695) |
| Additional Taxonomies | 208600000X Surgery (Licence: IA MD-42419) |
| 2086S0127X Surgery, Trauma Surgery (Licence: OK 39199) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: IA MD-42419) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2022-10-07 |