NPI | 1871808949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX T7258) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MI 4301109881) |
Enumeration Date | 2010-08-13 |
Last Update Date | 2023-06-29 |