| NPI | 1235225889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: TX K7959) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: GA 076624) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-07-24 |