NPI | 1710972906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL MD.9132) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.9132) |
207Q00000X Family Medicine (Licence: AL MD9132) | |
208600000X Surgery (Licence: AL 9132) | |
2086X0206X Surgery, Surgical Oncology (Licence: AL MD.9132) | |
Enumeration Date | 2005-09-14 |
Last Update Date | 2022-04-04 |