| NPI | 1366424095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G83054) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: CA G83054) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2018-01-11 |