NPI | 1477709327 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MI 4301094379) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125053962) |
208C00000X Colon & Rectal Surgery (Licence: MI 4301094379) | |
Enumeration Date | 2008-08-12 |
Last Update Date | 2017-01-09 |