NPI | 1215165162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NM RS20090316) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 15405) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2015-06-09 |