NPI | 1144291758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME92672) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101049921) |
Enumeration Date | 2006-01-31 |
Last Update Date | 2016-11-04 |