NPI | 1083143366 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.147542) |
Additional Taxonomies | 208600000X Surgery (Licence: RI LP03951) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2023-06-23 |