NPI | 1760696124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA OS012970) |
Additional Taxonomies | 208600000X Surgery (Licence: PA OT010133) |
208600000X Surgery (Licence: VA 0102203183) | |
2086S0102X Surgery, Surgical Critical Care (Licence: VA 0102203183) | |
2086S0102X Surgery, Surgical Critical Care (Licence: PA OS012970) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2024-03-12 |