NPI | 1306943725 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME49179) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: FL ME49179) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2016-06-17 |