NPI | 1336186071 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MO 2004000957) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MO 2004000957) |
2083A0100X Preventive Medicine, Aerospace Medicine (Licence: MO 2004000957) | |
Enumeration Date | 2006-06-01 |
Last Update Date | 2024-01-30 |