NPI | 1205276052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: SC 84067) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301103691) |
Enumeration Date | 2013-06-26 |
Last Update Date | 2020-11-04 |