NPI | 1245490143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0066348) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A91246) |
2086S0127X Surgery, Trauma Surgery (Licence: TX p3306) | |
Enumeration Date | 2008-06-13 |
Last Update Date | 2021-08-13 |