| NPI | 1154440501 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX Q1765) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A98344) |
| 208600000X Surgery (Licence: TX Q1765) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-09-16 |