| NPI | 1275584609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: PA MD062077L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD062077) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-04-12 |