NPI | 1659332013 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 109331) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 109331) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2007-08-21 |