| NPI | 1043389323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA C129126) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NH 12057) |
| 208600000X Surgery (Licence: NH 12057) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-08-11 |