NPI | 1144284670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NV 25350) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036-106258) |
208600000X Surgery (Licence: NY 238116-1) | |
208600000X Surgery (Licence: MI 4301033364) | |
Enumeration Date | 2006-04-13 |
Last Update Date | 2024-05-07 |