NPI | 1851680466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MD D89722) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: PA MD464252) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2020-09-14 |