NPI | 1952561474 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TN 50631) |
Additional Taxonomies | 208600000X Surgery (Licence: TN 50631) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2024-07-07 |