| NPI | 1134156441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: AL MD.19945) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: AL 19945) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2024-02-01 |