NPI | 1952417925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: WA MD00041818) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00041818) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2024-10-23 |