NPI | 1780070961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: NC 2023-02120) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 2023-02120) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2024-07-15 |