NPI | 1326260845 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: LA 304393) |
Additional Taxonomies | 208600000X Surgery (Licence: LA 304393) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2023-12-04 |