NPI | 1508031824 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036139682) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD432412) |
208600000X Surgery (Licence: CA A115017) | |
208600000X Surgery (Licence: OH 35.093595) | |
Enumeration Date | 2008-04-28 |
Last Update Date | 2022-07-21 |