NPI | 1942293097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: OK 28445) |
Additional Taxonomies | 208600000X Surgery (Licence: TX H5534) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2017-11-10 |