NPI | 1194388769 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MS 33680) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MS 33680) |
Enumeration Date | 2019-04-18 |
Last Update Date | 2025-06-30 |