NPI | 1053318832 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 210308) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 210308) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2021-01-20 |