| NPI | 1194772061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME MD18032) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: SC 15389) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2014-02-28 |