NPI | 1427316983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101270325) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101270325) |
208600000X Surgery (Licence: CT 053799) | |
Enumeration Date | 2012-05-02 |
Last Update Date | 2023-03-16 |