NPI | 1306056569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: LA MD.202978) |
Additional Taxonomies | 208600000X Surgery (Licence: LA MD.202978) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2014-08-11 |