NPI | 1235152844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: OH 35.125525) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35.125525) |
208600000X Surgery (Licence: LA 11536R) | |
2086X0206X Surgery, Surgical Oncology (Licence: LA 11536R) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2021-12-27 |