| NPI | 1972096865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0070960) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR0070960) |
| 208600000X Surgery (Licence: TX BP10063439) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-09-18 |