NPI | 1730126087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036053064) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 23362) |
208600000X Surgery (Licence: CA C51269) | |
208600000X Surgery (Licence: FL ME88434) | |
208600000X Surgery (Licence: HI 12182) | |
208600000X Surgery (Licence: NE 13266) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2007-07-08 |