NPI | 1114925815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: AL 17019) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 17019) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2014-09-04 |