NPI | 1942237946 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MN 43119) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 43119) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2012-10-25 |