NPI | 1518040682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: VA 0101057670) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101057670) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2014-03-21 |