NPI | 1720035793 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: AR e0053) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: AR E0053) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2008-01-22 |