NPI | 1427108950 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: TX G2601) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX G2601) |
132700000X Dietary Manager (Licence: TX G2601) | |
208200000X Plastic Surgery (Licence: TX G2601) | |
146D00000X Personal Emergency Response Attendant (Licence: TX G2601) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2012-05-22 |