NPI | 1699941864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: DE C1-0010539) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0116019143) |
208600000X Surgery (Licence: MN 55821) | |
208600000X Surgery (Licence: MN 106114) | |
Enumeration Date | 2008-05-07 |
Last Update Date | 2023-08-14 |