NPI | 1457350159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: DE C10006581) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD432554) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2022-02-04 |