NPI | 1023498326 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NE 34913) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125066550) |
208600000X Surgery (Licence: PA MT222468) | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2022-09-12 |