NPI | 1669400677 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: AZ 24013) |
Additional Taxonomies | 208600000X Surgery (Licence: AZ 24013) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2010-08-13 |