NPI | 1588978803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL MD.46303) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 074364) |
208600000X Surgery (Licence: PA MD450516) | |
Enumeration Date | 2010-07-28 |
Last Update Date | 2023-05-11 |