| NPI | 1164429353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD055443L) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD055443L) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2021-05-11 |