NPI | 1275657207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NV 14316) |
Additional Taxonomies | 208600000X Surgery (Licence: KY 43337) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2021-08-31 |