NPI | 1891793600 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CA G33753) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G33753) |
Enumeration Date | 2005-07-14 |
Last Update Date | 2011-12-19 |