NPI | 1437119302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NC 34605) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 34605) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2023-07-03 |