NPI | 1205893237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: SC 9985) |
Additional Taxonomies | 208600000X Surgery (Licence: SC 9985) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2018-04-06 |