NPI | 1033473889 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: KS 05-3361) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2017014791) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2020-06-18 |