NPI | 1023218286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD425405) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: IA 37504) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2012-05-02 |