NPI | 1023286945 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME163458) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD446487) |
208600000X Surgery (Licence: AL MD.42785) | |
208600000X Surgery (Licence: CA A102298) | |
Enumeration Date | 2008-02-13 |
Last Update Date | 2023-11-28 |