NPI | 1336363290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: WA MD60278948) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD60278948) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2013-04-09 |