NPI | 1447305818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0048303) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 2009-00717) |
208600000X Surgery (Licence: UT 8187118-1205) | |
208600000X Surgery (Licence: MD D0057959) | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-09-23 |