NPI | 1891775177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: SC 32384) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 36114) |
208600000X Surgery (Licence: SC TL32384) | |
208600000X Surgery (Licence: NC 2018-02643) | |
Enumeration Date | 2006-01-20 |
Last Update Date | 2023-05-01 |