NPI | 1386935294 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: UT 14218879-1205) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX R3754) |
Enumeration Date | 2011-04-26 |
Last Update Date | 2025-05-13 |