| NPI | 1275518334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 9801353) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NC 9801353) |
| 2086X0206X Surgery, Surgical Oncology (Licence: NC 9801353) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2010-11-12 |