| NPI | 1427085315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MA 235646) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NY 144421) |
| 208600000X Surgery (Licence: NY 144421) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2008-09-02 |