| NPI | 1962704999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL DO.1310) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL DO.1310) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2026-06-09 |