NPI | 1326006925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AK 6065) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: WA MD00037698) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2008-06-12 |