NPI | 1326487190 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: FL ME139862) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT203620) |
208600000X Surgery (Licence: FL ME139862) | |
Enumeration Date | 2013-06-14 |
Last Update Date | 2023-05-18 |