NPI | 1699156810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD482231) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD482231) |
Enumeration Date | 2015-06-12 |
Last Update Date | 2023-09-25 |