| NPI | 1194985614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MD D85979) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 1018289) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2024-02-16 |