NPI | 1164403937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL 25351) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036136916) |
208600000X Surgery (Licence: AL 00025351) | |
208600000X Surgery (Licence: WI 62414) | |
Enumeration Date | 2005-11-09 |
Last Update Date | 2023-11-07 |