NPI | 1194850867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NM MD2015-0112) |
Additional Taxonomies | 208600000X Surgery (Licence: ND 12677) |
208600000X Surgery (Licence: WA MD00027549) | |
2086X0206X Surgery, Surgical Oncology (Licence: WA MD00027549) | |
Enumeration Date | 2007-02-22 |
Last Update Date | 2023-11-01 |