NPI | 1033591185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WI 81172) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: WI 81172) |
2086S0127X Surgery Trauma Surgery (Licence: WI 81172) | |
Enumeration Date | 2015-06-25 |
Last Update Date | 2024-06-12 |