NPI | 1558331363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OR MD21051) |
Additional Taxonomies | 208600000X Surgery (Licence: TX 014019) |
208600000X Surgery (Licence: AL 00015457) | |
Enumeration Date | 2006-01-24 |
Last Update Date | 2007-07-08 |