| NPI | 1265796346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME157276) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A168421) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA A168421) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2022-11-15 |