NPI | 1265649487 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A149114) |
Additional Taxonomies | 208600000X Surgery (Licence: AR E-4583) |
208600000X Surgery (Licence: FL ME123614) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2023-08-13 |