NPI | 1992906432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME98852) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME98852) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2023-12-14 |