NPI | 1023146289 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2008-01232) |
Additional Taxonomies | 208600000X Surgery (Licence: MS 20533) |
208600000X Surgery (Licence: SC 35200) | |
Enumeration Date | 2007-03-01 |
Last Update Date | 2021-05-06 |