NPI | 1316962046 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35088116) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD066411L) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2007-07-08 |