NPI | 1699715441 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036122525) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35085022) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2015-11-19 |