NPI | 1689781445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA 020A76980) |
Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: CA 020A76980) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2008-09-30 |