NPI | 1255751087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IA MD-48834) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IA MD-48834) |
Enumeration Date | 2014-04-19 |
Last Update Date | 2021-09-16 |