NPI | 1972544583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: KS 04-31386) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MO R5P90) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2020-10-29 |