NPI | 1245264258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CT 034772) |
Additional Taxonomies | 208600000X Surgery (Licence: CT 034772) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2008-03-17 |