NPI | 1144285701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: DE C1-0002968) |
Additional Taxonomies | 174400000X Specialist (Licence: MD D0067498) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2024-10-16 |