| NPI | 1033226162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN MD29355) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN MD29355) |
| 208C00000X Colon & Rectal Surgery (Licence: TN MD29355) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2013-10-10 |