NPI | 1811312564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: OH 34.012298) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.012298) |
Enumeration Date | 2014-03-04 |
Last Update Date | 2017-06-22 |