NPI | 1134157308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA G76196) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G76196) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2011-05-12 |