| NPI | 1255476107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: GA 070318) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD P20960) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2022-07-21 |