NPI | 1326024092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WA MD60246604) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036162736) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2023-01-19 |