NPI | 1205935913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A87281) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A87281) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2024-03-12 |