NPI | 1063807550 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: ME MD29704) |
Additional Taxonomies | 208600000X Surgery (Licence: ME MD29704) |
208600000X Surgery (Licence: TX R9093) | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2025-09-05 |