NPI | 1922273903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NV 14747) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: NV 14747) |
Enumeration Date | 2008-04-29 |
Last Update Date | 2016-01-14 |