NPI | 1699859454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA C42011) |
Additional Taxonomies | 208600000X Surgery (Licence: CA C42011) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2016-12-12 |