NPI | 1689756314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery Trauma Surgery (Licence: AL 9300) |
Additional Taxonomies | 208600000X Surgery (Licence: AL 9300) |
208600000X Surgery (Licence: MS 13654) | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2021-03-05 |