NPI | 1477662617 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL MD.11082) |
Additional Taxonomies | 208600000X Surgery (Licence: AL 00011082) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2011-09-02 |