NPI | 1730438037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA A142182) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A142182) |
Enumeration Date | 2012-08-31 |
Last Update Date | 2022-08-16 |