NPI | 1740443316 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME128415) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A125937) |
208600000X Surgery (Licence: AL 33414) | |
208600000X Surgery (Licence: KS 94-07082) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2023-07-16 |