| NPI | 1275750978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CO DR.0062629) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA MD.204096) |
| 2086X0206X Surgery, Surgical Oncology (Licence: LA MD.204096) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2019-09-06 |