NPI | 1386180495 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OK 44121) |
Additional Taxonomies | 208600000X Surgery (Licence: OK 44121) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2024-10-29 |