| NPI | 1083670442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.156098) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2015027319) |
| 208600000X Surgery (Licence: OH 35.156098) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: MO 2015027319) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2026-06-08 |