NPI | 1639451578 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA 133552) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IN 01076762A) |
Enumeration Date | 2011-09-16 |
Last Update Date | 2024-04-10 |