NPI | 1033369012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WA OP60236670) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036-121383) |
Enumeration Date | 2008-09-25 |
Last Update Date | 2012-11-28 |