NPI | 1669602058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.093325) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.093325) |
Enumeration Date | 2009-07-20 |
Last Update Date | 2021-12-22 |