NPI | 1578908992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IN 01087775A) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 126957) |
2086S0102X Surgery, Surgical Critical Care (Licence: IN 01087775A) | |
Enumeration Date | 2013-04-30 |
Last Update Date | 2022-07-12 |