NPI | 1023161940 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2007-01770) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036129810) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2018-07-09 |