| NPI | 1992909485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TN 46464) |
| Additional Taxonomies | 208600000X Surgery (Licence: AR E-9157) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2024-09-18 |