NPI | 1548528342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME139850) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME139850) |
208600000X Surgery (Licence: NV 17313) | |
2086S0127X Surgery, Trauma Surgery (Licence: FL ME139850) | |
Enumeration Date | 2012-04-30 |
Last Update Date | 2022-07-22 |