NPI | 1932632312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AL 49111) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME162266) |
208600000X Surgery (Licence: LA 306149) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2024-08-06 |