NPI | 1790942852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MD D68027) |
Additional Taxonomies | 208600000X Surgery (Licence: MD D0068027) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2013-05-09 |