| NPI | 1124067129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MA 52875) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 52875) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-04-22 |