NPI | 1073072054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OR MD224128) |
Additional Taxonomies | 208600000X Surgery (Licence: NC 250019) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2025-07-31 |