NPI | 1881855104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: KS 04-40277) |
Additional Taxonomies | 208600000X Surgery (Licence: GA 66715) |
208600000X Surgery (Licence: KS 04-40277) | |
Enumeration Date | 2008-06-19 |
Last Update Date | 2022-01-26 |