NPI | 1326074535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A79817) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A79817) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2024-01-18 |