NPI | 1821105628 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A74578) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MO 2018027900) |
2086S0127X Surgery, Trauma Surgery (Licence: CA A74578) | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2021-02-25 |