NPI | 1497764187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WI 42300) |
Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0051621) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2023-03-07 |