NPI | 1285691170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: SC 83831) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD466974) |
208600000X Surgery (Licence: IN 01052812A) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2020-08-03 |