NPI | 1306953989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 35086376) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35.086376) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2015-06-30 |