NPI | 1215222948 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NY 288894) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 288894) |
Enumeration Date | 2011-06-10 |
Last Update Date | 2024-09-27 |