NPI | 1447458484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 273373) |
Additional Taxonomies | 208600000X Surgery (Licence: WA ML20008997) |
208600000X Surgery (Licence: WA MD60095338) | |
208600000X Surgery (Licence: NY 273373) | |
2086X0206X Surgery, Surgical Oncology (Licence: NJ 25MA09961000) | |
Enumeration Date | 2007-07-10 |
Last Update Date | 2022-09-19 |