NPI | 1891709200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MS 15299) |
Additional Taxonomies | 208600000X Surgery (Licence: WA 44466) |
208600000X Surgery (Licence: AZ 37937) | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2012-05-09 |