NPI | 1518991876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME110714) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX MO546) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2022-10-18 |