NPI | 1710948971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: FL me95263) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME95263) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2013-12-10 |