NPI | 1558568303 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: DE C1-0011902) |
Additional Taxonomies | 208600000X Surgery (Licence: IA MD39681) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2016-11-29 |