NPI | 1528455680 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TN 67873) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: TN 67873) |
Enumeration Date | 2015-04-16 |
Last Update Date | 2023-08-09 |