NPI | 1619261609 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A124822) |
Additional Taxonomies | 208600000X Surgery (Licence: RI LP02339) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2021-11-11 |