NPI | 1295220226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35147638) |
Additional Taxonomies | 208600000X Surgery (Licence: TX BP10064964) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2024-10-25 |