NPI | 1881770667 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: WA MD00039268) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD00039268) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2011-08-16 |