| NPI | 1124540281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: GA 114088) |
| Additional Taxonomies | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: GA 114088) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2026-07-17 |