NPI | 1053628172 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.120664) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301098147) |
208600000X Surgery (Licence: OH 57.012489) | |
2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.120664) | |
2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301098147) | |
Enumeration Date | 2010-09-10 |
Last Update Date | 2021-01-04 |