NPI | 1538195227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: WV 34306) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101102804) |
208600000X Surgery (Licence: VA 0101102804) | |
208600000X Surgery (Licence: WV 34306) | |
Enumeration Date | 2006-06-24 |
Last Update Date | 2025-09-30 |