| NPI | 1881432300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: MD R94560) |
| Additional Taxonomies | 293D00000X Physiological Laboratory (Licence: MD R94560) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |