NPI | 1437183035 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: AZ 37196) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301075047) |
208600000X Surgery (Licence: CA A96308) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2024-09-09 |