| NPI | 1982676094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: CO DR.0069984) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD00040993) |
| 2086S0127X Surgery, Trauma Surgery (Licence: CO DR.0069984) | |
| 208C00000X Colon & Rectal Surgery (Licence: WA MD00040993) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-07-09 |