NPI | 1851349286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX E22577) |
Additional Taxonomies | 208600000X Surgery (Licence: AR E-7153) |
208600000X Surgery (Licence: TX L6296) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2016-09-02 |