NPI | 1003937079 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2014-00583) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NC 2014-00583) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2024-07-15 |