NPI | 1861628729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA md471817) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD471817) |
Enumeration Date | 2009-06-05 |
Last Update Date | 2023-08-21 |