| 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 |