| NPI | 1114037439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NE 18448) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: NE 18448) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-01-03 |