| NPI | 1114186905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MA 243921) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 243921) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2017-02-17 |