NPI | 1902817018 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD058617L) |
Additional Taxonomies | 208600000X Surgery (Licence: DE C10007635) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2016-01-08 |