NPI | 1205491867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A177610) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A177610) |
Enumeration Date | 2019-05-08 |
Last Update Date | 2025-08-20 |