NPI | 1174610208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: SC 51334) |
Additional Taxonomies | 208600000X Surgery (Licence: TX T9106) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2022-11-30 |