NPI | 1477686905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: DE C2-0011822) |
Additional Taxonomies | 208600000X Surgery (Licence: DE c7-0002936) |
2086S0102X Surgery, Surgical Critical Care (Licence: NJ MB08839000) | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2016-11-29 |