| NPI | 1144547217 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: IA MD-47989) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A161908) |
| 208600000X Surgery (Licence: SC 32719) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2021-02-25 |