NPI | 1184288110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.151372) |
Additional Taxonomies | 208600000X Surgery (Licence: HI MDR-7717) |
Enumeration Date | 2019-04-25 |
Last Update Date | 2024-06-28 |