NPI | 1134269681 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OK 25070) |
Additional Taxonomies | 208600000X Surgery (Licence: OK 25070) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2017-03-30 |