NPI | 1376653709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: CA G87111) |
Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: CA G87111) |
208600000X Surgery (Licence: CA G87111) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-06-23 |