NPI | 1225109440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME97119) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME97119) |
2086S0127X Surgery, Trauma Surgery (Licence: FL ME97119) | |
Enumeration Date | 2006-11-10 |
Last Update Date | 2022-07-22 |