NPI | 1487071387 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TX R0718) |
Additional Taxonomies | 2086S0129X (Licence: TX R0718) |
Enumeration Date | 2014-03-28 |
Last Update Date | 2025-08-20 |