| NPI | 1164484283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101235677) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: VA 0101235677) |
| 2086X0206X Surgery, Surgical Oncology (Licence: VA 0101235677) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-08 |