NPI | 1376865261 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME122699) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301092876) |
Enumeration Date | 2010-02-19 |
Last Update Date | 2024-08-07 |