NPI | 1467503797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: LA 201858) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MA 220783) |
208600000X Surgery (Licence: MA 220783) | |
2086S0102X Surgery, Surgical Critical Care (Licence: LA 201858) | |
Enumeration Date | 2007-01-15 |
Last Update Date | 2010-01-15 |