| NPI | 1083674949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: LA 321853) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M1193) |
| 208600000X Surgery (Licence: LA 321853) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX M1193) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-06-23 |