NPI | 1598887010 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL OS14288) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 5101016366) |
2086S0127X Surgery, Trauma Surgery (Licence: IN 02004106A) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-03-23 |