NPI | 1851658389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A131192) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A131192) |
Enumeration Date | 2012-04-22 |
Last Update Date | 2020-03-10 |