NPI | 1497911804 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A87704) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A8704) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2010-09-27 |