NPI | 1538196845 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MS 09189) |
Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: MS 09189) |
208C00000X Colon & Rectal Surgery (Licence: MS 09189) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2018-10-04 |