NPI | 1306233432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NY 296146) |
Additional Taxonomies | 208600000X Surgery (Licence: DE C1-0028614) |
208C00000X Colon & Rectal Surgery (Licence: DE C1-0028614) | |
Enumeration Date | 2015-04-15 |
Last Update Date | 2025-10-08 |