NPI | 1174935217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MO 2024010643) |
Additional Taxonomies | 208600000X Surgery (Licence: WI 43923-20) |
208600000X Surgery (Licence: TN 67923) | |
208600000X Surgery (Licence: IL 036170087) | |
2086S0102X Surgery, Surgical Critical Care (Licence: WI 43923-20) | |
2086S0102X Surgery, Surgical Critical Care (Licence: IL 036170087) | |
Enumeration Date | 2014-05-23 |
Last Update Date | 2024-09-05 |