NPI | 1154309292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: KY 31000) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036.140240) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2024-02-12 |