NPI | 1487632485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MN 33635) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 33635) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2020-09-30 |