| NPI | 1285626465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 43500 020) |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WI 43500 020) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2024-06-14 |