NPI | 1497860381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.086505) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35.086505) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2021-12-27 |