NPI | 1689649030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NJ 25MA04768700) |
Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA04768700) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2024-04-08 |