| NPI | 1275794497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101257084) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WI 63325) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2022-01-04 |