NPI | 1104866748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A606130) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A60613) |
2086X0206X Surgery, Surgical Oncology (Licence: CA A606130) | |
Enumeration Date | 2006-06-08 |
Last Update Date | 2018-07-19 |