NPI | 1710926514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD463258) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD463258) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2020-03-19 |