NPI | 1760635890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OK 42838) |
Additional Taxonomies | 208600000X Surgery (Licence: KY R1900) |
208C00000X Colon & Rectal Surgery (Licence: AR E-9260) | |
208600000X Surgery (Licence: AR E-9260) | |
Enumeration Date | 2008-11-03 |
Last Update Date | 2024-03-25 |