| NPI | 1063602399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX R4142) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R4142) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2024-03-26 |