NPI | 1538489687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: DE C2-0013421) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: PA OS014152) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2019-11-13 |