| NPI | 1144472168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX 46196) |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology (Licence: CA A138794) |
| 208600000X Surgery (Licence: TX 46196) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2018-06-18 |