NPI | 1164539953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A061858) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA A061858) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2010-11-02 |