NPI | 1154580017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA 135300) |
Additional Taxonomies | 208600000X Surgery (Licence: CA 135300) |
208600000X Surgery (Licence: FL TRN12753) | |
Enumeration Date | 2008-06-05 |
Last Update Date | 2023-04-21 |