NPI | 1568509099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: MS 17284) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 17284) |
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MS 17284) | |
208600000X Surgery (Licence: MS 17284) | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MS 17284) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2011-01-19 |