NPI | 1013336890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WI 86109) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD469835) |
208600000X Surgery (Licence: PA MD469835) | |
Enumeration Date | 2014-04-09 |
Last Update Date | 2025-09-10 |