NPI | 1174903488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: MO 2021023199) |
Additional Taxonomies | 208600000X Surgery (Licence: IN 11018234A) |
208C00000X Colon & Rectal Surgery (Licence: IL 125.075514) | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2021-08-30 |