| NPI | 1083849327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CA A113956) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A113956) |
| 2086H0002X Surgery Hospice and Palliative Medicine (Licence: CA A113956) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2020-01-28 |