NPI | 1144280116 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AR E-19369) |
Additional Taxonomies | 208600000X Surgery (Licence: TX H7963) |
208600000X Surgery (Licence: GA 067203) | |
Enumeration Date | 2006-03-24 |
Last Update Date | 2025-06-04 |