NPI | 1477650109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WI 44670) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: WI 44670) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2022-08-15 |