NPI | 1669530630 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NE 25264) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME103180) |
207P00000X Emergency Medicine (Licence: FL ME103180) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2016-05-05 |