NPI | 1447543236 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: LA 312263) |
Additional Taxonomies | 208600000X Surgery (Licence: TX BP1-0040982) |
208600000X Surgery (Licence: TX Q1573) | |
Enumeration Date | 2011-05-26 |
Last Update Date | 2023-10-24 |