NPI | 1316196512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: TX Q0027) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: GA 003300) |
Enumeration Date | 2008-09-11 |
Last Update Date | 2019-03-06 |