NPI | 1013950625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX J6096) |
Additional Taxonomies | 208600000X Surgery (Licence: TX J6096) |
2086S0102X Surgery, Surgical Critical Care (Licence: GA 84928) | |
2086S0102X Surgery, Surgical Critical Care (Licence: OK 37473) | |
Enumeration Date | 2006-06-13 |
Last Update Date | 2022-04-29 |