NPI | 1497017727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX R2200) |
Additional Taxonomies | 208600000X Surgery (Licence: ME EL191015) |
208600000X Surgery (Licence: ME MD23088) | |
Enumeration Date | 2012-06-12 |
Last Update Date | 2022-09-20 |