NPI | 1174580492 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME114413) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35072102M) |
2086X0206X Surgery, Surgical Oncology (Licence: FL ME114413) | |
Enumeration Date | 2006-04-28 |
Last Update Date | 2024-05-13 |