NPI | 1043612831 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A138818) |
Additional Taxonomies | 208600000X Surgery (Licence: TX T1289) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2024-11-13 |