| 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 |