| NPI | 1215976915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: MO R2F07) |
| Additional Taxonomies | 208600000X Surgery (Licence: KS 425057) |
| 208600000X Surgery (Licence: MO R2F07) | |
| 2086X0206X Surgery, Surgical Oncology (Licence: KS 425057) | |
| 208600000X Surgery (Licence: NE 18126) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-11-13 |