NPI | 1669697041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MD D82167) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301087758) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2024-01-09 |