NPI | 1396940466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: LA MD.207084) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: LA MD.207084) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2021-01-25 |