NPI | 1447456033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.149864) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 57.010429) |
208600000X Surgery (Licence: CA A 113674) | |
Enumeration Date | 2007-06-21 |
Last Update Date | 2024-05-15 |