| NPI | 1285688143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: OH 35060861) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35.060861) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2015-04-09 |