| NPI | 1033182175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 54582-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: WI 54582-20) |
| 174400000X Specialist (Licence: WI 54582-20) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2025-03-05 |