NPI | 1811947658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: LA 14488R) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: LA MD14488R) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2008-04-30 |