NPI | 1922259217 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301109839) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35.098493) |
Enumeration Date | 2008-10-04 |
Last Update Date | 2024-01-04 |