NPI | 1477730026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL MD.33601) |
Additional Taxonomies | 208600000X Surgery (Licence: LA MD.203569) |
208600000X Surgery (Licence: GA 001316) | |
Enumeration Date | 2008-01-25 |
Last Update Date | 2023-01-06 |