NPI | 1174834097 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: DE C1-0009722) |
Additional Taxonomies | 208600000X Surgery (Licence: DE C1-0009722) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2024-11-01 |