NPI | 1790716348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX L4343) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX L4343) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2011-08-26 |