NPI | 1083761019 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IN 01074216A) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301101564) |
208600000X Surgery (Licence: PA MT185869) | |
2086S0102X Surgery, Surgical Critical Care (Licence: IN 01074216A) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2022-09-13 |