NPI | 1497773519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA G60225) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G60225) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2023-08-14 |