NPI | 1669535027 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: IN 01058167A) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036051780) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2007-07-08 |