| NPI | 1134386980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME133522) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX P5424) |
| 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.092153) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: FL ME133522) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX P5424) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2024-01-31 |