| NPI | 1902072663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: FL ME107100) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME 107100) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2020-07-30 |