NPI | 1417035338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CT 41831) |
Additional Taxonomies | 208600000X Surgery (Licence: CT 41831) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2015-10-30 |