NPI | 1730609363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IL 036.165022) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036.165022) |
Enumeration Date | 2017-06-24 |
Last Update Date | 2023-08-11 |