NPI | 1104352509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A186153) |
Additional Taxonomies | 208600000X Surgery (Licence: IN 01082241A) |
Enumeration Date | 2017-05-04 |
Last Update Date | 2024-02-20 |