NPI | 1134112626 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A83995) |
Additional Taxonomies | 208600000X Surgery (Licence: TX L8980) |
208C00000X Colon & Rectal Surgery (Licence: TX L8980) | |
208600000X Surgery (Licence: CA A83995) | |
Enumeration Date | 2005-08-30 |
Last Update Date | 2012-10-26 |