NPI | 1508964917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: AK md3188) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AK md3188) |
2086S0102X Surgery, Surgical Critical Care (Licence: AK md3188) | |
2086S0127X Surgery, Trauma Surgery (Licence: AK md3188) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2009-11-12 |