NPI | 1780679787 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: IA MD-37234) |
Additional Taxonomies | 208600000X Surgery (Licence: IA 37234) |
Enumeration Date | 2005-09-15 |
Last Update Date | 2023-11-17 |