NPI | 1639286602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX M1524) |
Additional Taxonomies | 208600000X Surgery (Licence: TX M1524) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2024-10-09 |