NPI | 1063423895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: ND 10350) |
Additional Taxonomies | 208600000X Surgery (Licence: ND 10350) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2018-06-08 |