| NPI | 1518057140 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MN 57096) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 5317240-1205) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-02-27 |