NPI | 1821017492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: DC MD039259) |
Additional Taxonomies | 208600000X Surgery (Licence: MD D71965) |
2086S0127X Surgery, Trauma Surgery (Licence: DE C1-0008069) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2013-05-28 |