NPI | 1134249766 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: KS 0535787) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2009006156) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2012-07-06 |