NPI | 1356784755 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AK 195771) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD60568406) |
2086S0102X Surgery, Surgical Critical Care (Licence: AK 195771) | |
Enumeration Date | 2013-04-16 |
Last Update Date | 2022-10-06 |