NPI | 1093033482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: DE C2-0010151) |
Additional Taxonomies | 208600000X Surgery (Licence: PA OT011869) |
Enumeration Date | 2010-05-10 |
Last Update Date | 2012-10-03 |