NPI | 1053460873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA 891220) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A112608) |
208600000X Surgery (Licence: CA 891220) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2020-06-26 |