NPI | 1598887176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA C181752) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301085425) |
2086S0102X Surgery, Surgical Critical Care (Licence: CA C181752) | |
2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301085425) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2022-10-12 |