NPI | 1255342903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA G70240) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA G70240) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2019-12-23 |