NPI | 1407243959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: LA 347051) |
Additional Taxonomies | 208600000X Surgery (Licence: LA 347051) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2025-10-01 |