NPI | 1164673802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA MD439113) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD439113) |
Enumeration Date | 2008-09-30 |
Last Update Date | 2012-04-17 |