NPI | 1295935757 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A120466) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A120466) |
Enumeration Date | 2007-07-23 |
Last Update Date | 2013-08-13 |