NPI | 1770774770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A89592) |
Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: CA A89592) |
208C00000X Colon & Rectal Surgery (Licence: CA A89592) | |
Enumeration Date | 2007-08-05 |
Last Update Date | 2023-07-31 |