NPI | 1689056186 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX T3335) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ R2477) |
2086S0102X Surgery, Surgical Critical Care (Licence: TX T3335) | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2021-09-07 |