NPI | 1114189933 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX P6220) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: KY 43479) |
Enumeration Date | 2008-07-02 |
Last Update Date | 2019-11-05 |