| NPI | 1144205519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TN 021350) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 207SG0201X) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2024-05-06 |