NPI | 1346683018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX R5517) |
Additional Taxonomies | 208600000X Surgery (Licence: DE C7-0005355) |
Enumeration Date | 2013-04-12 |
Last Update Date | 2018-10-25 |