NPI | 1558497206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301095394) |
Additional Taxonomies | 208600000X Surgery (Licence: MA L-228805) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2022-07-14 |