| NPI | 1265465850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CO DR.0051066) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO 51066) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-11-17 |