NPI | 1407944416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: AZ 22280) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 22280) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2008-04-23 |