NPI | 1184755407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: MD D35110) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: MD D35110) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2010-11-06 |