NPI | 1023178175 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD043336E) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA G79627) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2014-05-08 |