NPI | 1437199155 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA MD.016317) |
Additional Taxonomies | 174400000X Specialist (Licence: LA 016317) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2021-01-27 |