NPI | 1891990859 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35094711) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35094711) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2021-04-30 |