NPI | 1801357827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NV 25667) |
Additional Taxonomies | 208600000X Surgery (Licence: NV 25667) |
Enumeration Date | 2019-03-31 |
Last Update Date | 2025-07-22 |