NPI | 1245215979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: DE C10004905) |
Additional Taxonomies | 208600000X Surgery (Licence: DE C1-0004905) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2011-11-29 |