| NPI | 1093725301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MD D0057591) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: MD D0057591) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-06-11 |