NPI | 1033348891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 287527) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX Q0154) |
Enumeration Date | 2009-07-14 |
Last Update Date | 2023-06-29 |