NPI | 1083930275 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AZ 67333) |
Additional Taxonomies | 208600000X Surgery (Licence: MD D0077538) |
208600000X Surgery (Licence: OR MD202987) | |
Enumeration Date | 2010-04-13 |
Last Update Date | 2023-05-01 |