NPI | 1568882439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MD H0092542) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: DE C2-0012416) |
Enumeration Date | 2014-04-18 |
Last Update Date | 2023-02-14 |