NPI | 1063516243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: KS 04-32408) |
Additional Taxonomies | 208600000X Surgery (Licence: MO T2006018043) |
Enumeration Date | 2006-09-11 |
Last Update Date | 2007-07-08 |