NPI | 1750776951 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: DE C2-0023913) |
Additional Taxonomies | 208600000X Surgery (Licence: DE C2-0023913) |
Enumeration Date | 2015-04-03 |
Last Update Date | 2022-01-03 |