NPI | 1932364379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.097521) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: OH 35.097521) |
Enumeration Date | 2008-07-24 |
Last Update Date | 2023-11-03 |