NPI | 1376679209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME70471) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME70471) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2016-11-15 |