| NPI | 1427127075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A437360) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA A437360) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA A437360) | |
| 208C00000X Colon & Rectal Surgery (Licence: CA A437360) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-02-22 |