NPI | 1326136565 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: UT 6463025-1205) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 241883) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2023-09-25 |