NPI | 1639438070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX Q8567) |
Additional Taxonomies | 208600000X Surgery (Licence: TX BP10045316) |
208600000X Surgery (Licence: TX Q8567) | |
Enumeration Date | 2012-05-04 |
Last Update Date | 2019-07-01 |