NPI | 1558396788 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35070670) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35070670) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2007-07-20 |