NPI | 1740423847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OR MD171532) |
Additional Taxonomies | 208600000X Surgery (Licence: OR 171532) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2024-11-07 |