NPI | 1982844882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MO 2010035688) |
Additional Taxonomies | 208600000X Surgery (Licence: MO 2010035688) |
Enumeration Date | 2009-03-05 |
Last Update Date | 2022-09-12 |