| NPI | 1033324496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CT 52397) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 52397) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-11-23 |