NPI | 1306307855 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MO 2024034036) |
Additional Taxonomies | 208600000X Surgery (Licence: AL MD.41769) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2024-08-22 |