NPI | 1225243413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX Q7721) |
Additional Taxonomies | 208600000X Surgery (Licence: IN 01066472A) |
208600000X Surgery (Licence: MS 22460) | |
Enumeration Date | 2007-05-11 |
Last Update Date | 2016-08-09 |