NPI | 1801043013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: AK 7534) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2008003314) |
208600000X Surgery (Licence: CO 46118) | |
Enumeration Date | 2008-08-19 |
Last Update Date | 2017-06-28 |