NPI | 1427115823 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2012-00109) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT187077) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2012-12-06 |