NPI | 1033303276 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MO 2018029428) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: HI MD-1040) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2024-09-17 |