NPI | 1720181886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL MD.27564) |
Additional Taxonomies | 208600000X Surgery (Licence: AL 00027564) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2024-10-01 |