NPI | 1639669872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0129X (Licence: TX V6976) |
Additional Taxonomies | 208600000X Surgery (Licence: TX V6976) |
2086S0102X Surgery, Surgical Critical Care (Licence: TX V6976) | |
Enumeration Date | 2018-05-14 |
Last Update Date | 2025-07-15 |