NPI | 1275518334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 9801353) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: NC 9801353) |
2086X0206X Surgery Surgical Oncology (Licence: NC 9801353) | |
Enumeration Date | 2005-12-13 |
Last Update Date | 2010-11-12 |