| NPI | 1033361282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A86040) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA A86040) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2019-12-23 |