| NPI | 1235404583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A174935) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: CA A174935) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2021-12-30 |