NPI | 1972600344 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A75418) |
Additional Taxonomies | 208600000X Surgery (Licence: UT 13342087-1205) |
208600000X Surgery (Licence: AZ 63430) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 63430) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-07-21 |