NPI | 1861670028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MN 52759) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: MN 52759) |
Enumeration Date | 2008-02-08 |
Last Update Date | 2019-05-31 |