| NPI | 1043373038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 2023-00096) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TN 2394) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2023-06-02 |