NPI | 1609431733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CO CDR.0005547) |
Additional Taxonomies | 208600000X Surgery (Licence: KS 0451742) |
Enumeration Date | 2019-05-03 |
Last Update Date | 2025-09-12 |