NPI | 1346236940 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IA 3557) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IA 3557) |
Enumeration Date | 2005-09-20 |
Last Update Date | 2017-01-09 |