NPI | 1578925657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036.148084) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IL 036148084) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2024-09-09 |