NPI | 1821451279 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WI 71084-20) |
Additional Taxonomies | 208600000X Surgery (Licence: WI 71084-20) |
2086S0127X Surgery, Trauma Surgery (Licence: MD D96521) | |
Enumeration Date | 2016-04-02 |
Last Update Date | 2024-09-26 |