NPI | 1801082102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: ME 013198) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME 013198) |
208C00000X Colon & Rectal Surgery (Licence: ME 013198) | |
Enumeration Date | 2007-09-20 |
Last Update Date | 2009-05-08 |