NPI | 1497782239 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CO G494990) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA G494990) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2021-02-01 |