NPI | 1346377066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX M7575) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX M7575) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2023-08-08 |