NPI | 1588789655 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0099425) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A77295) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2024-03-04 |