| NPI | 1982018305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: PA OS020081) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OT015870) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2024-11-06 |