NPI | 1952887234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA 167175) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: CA 167175) |
Enumeration Date | 2018-07-19 |
Last Update Date | 2024-08-07 |