NPI | 1386804359 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: VA 0101252553) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT192386) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2019-11-20 |