NPI | 1528150646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: LA MD.022651) |
Additional Taxonomies | 174400000X Specialist (Licence: LA 022651) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2010-12-02 |