NPI | 1104810167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TN MD37822) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: TN MD37822) |
Enumeration Date | 2005-09-07 |
Last Update Date | 2019-02-18 |