NPI | 1568446474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA G71624) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G71624) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2016-03-24 |