NPI | 1720020308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL OS9781) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036117950) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2012-09-17 |