NPI | 1932474111 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL OS16136) |
Additional Taxonomies | 208600000X Surgery (Licence: AR e-8208) |
208600000X Surgery (Licence: MS T-2951) | |
Enumeration Date | 2012-03-20 |
Last Update Date | 2019-11-01 |