NPI | 1306474564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: ZZ HOM0001138372) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: ZZ HOM0001138372) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2020-03-31 |