| NPI | 1154333284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NC 200701358) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME84596) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-12-21 |