NPI | 1669573572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301052809) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301052809) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2020-01-08 |